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�heL�rer�reei� ' • CONSTRUCTION � � <br /> CI7 Y OF <br /> everett PERMIT PERMIT NO. Cv57 � <br /> CITV H�LL 259�87A5 <br /> eve�err.wn snzo� ❑ COMBINATION C�BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 'ocmEa r.•rvl npun6s5 cirr zic vHomF <br /> �9illiam Bleifuss 4717 Forest Drive <br /> u;cNir�crono�sc�iFr� r.�ni�r,urrirss cirr nr vnone <br /> GEI1EliFL CONIRACiOR �dFIL AOURESS �IiY ZIP P�IONL LICENS[Y <br /> same <br /> tdECMAt�iCALCOMPqCiOR M1IAILADO�E55 QIY ZIP PNONF. �i[ENSE� <br /> GLUM�VJG COIJiRFCtOR IdAIL aDURE55 GiV ZIP PHONE IiCE�ISE� <br /> CLASS OF VIpRK <br /> L�NEW ❑ADDITION ❑ALTERATION �l7EPNR ❑UEIdOLIT�ON ❑PENCE ❑SIGN ❑GARAGE <br /> VALUPLION OF 140RK <br /> s 230.00 <br /> DESGRIpE N'ORK <br /> composition re—roof <br /> PROPOSCO USE Of�UILDiNG <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ ANO EXAMWED THIS AP- <br /> �eca�oescni�no.oF Paonenrr�s��o�vae�owor�nrrncuwuaccWies PLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT. <br /> 22 2 Forest Park Add. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> io� o�oc�oF TYPE OF WOPK WILL BE COMPLIED WITH WHETHER SPECIRED <br /> HERGIN OR NOT. THE GRANTING OF A PER611T DOES NOT <br /> PRESUME TO GNE AUTHORITY TO VIOLATE OF^,ANCEL TF!�E PP,O- <br /> VISIONS OF ANY OTHER STATE OR LOCAL 'JiW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JO�ADUIiESS S�GNNiVAEOFCOIJiPACiORORAUL�OPIZEOa�ENi AiL <br /> 4717 Forest Drive X � )iiyy� 8/22/'�9 <br /> !iv <br /> � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET IiOI�ETi AIR COND UNITS— HP.EA. <br /> �ATNTUB REFf1IGERATION UNITS—HP. EA <br /> LAVATORY�WASH BASIN) �OILERS—NP EA. <br /> SHO:4ER GAS RRED A.0 UWTS—TONNAGE EA <br /> KIiCHEN SWK 8 DISP. FOHCED AIR SVSTEbIS—BT.0 Id EA <br /> DISHVJFSHEP FJALL HEATERS--�.LU 61 <br /> LAUNDRY TRFV UNIT HEATEFS—B T.U. Id <br /> CLOTNES VlASHER eVi�PuRATIV[�OULEFS <br /> INHTER HEATER CLOTHES�RVERS <br /> URINAL VENiILAT10N PA�J <br /> UHINKING FOUNTNN RANGF.HOOD <br /> FLOCR DRAIN AIR HAWDLING UNIT— C.F M <br /> VACUUM BREAKERS STOVF. <br /> ROOF DRAlIJS--RAINLEADERS IdETAL FIREPLACE&CHIMNEV <br /> SINK�SFRVIGE—�AR,ETC.1 <br /> SUB TOTAL SUBTOTAL 5 <br /> � PERMIT 5 PERMI7 S <br /> TOTAL FEE 5 707AL FEE S <br /> SIDE YARD SeTE3ACK STREET 5[T�ACk REAfi YARD SET6ACK PL�N CHECK NUM1IBER PIAN CH[CK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREf. VACANT SITE <br /> ;J.YES i_7N0 FEES VqLUATIOA FE[ <br /> TYPE OF CONST. CCCUPANCY GROU? NO.OF DWELLING UNITS <br /> BUIL�ING 5 230.00 5 00 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCQ LOAD <br /> PLUMBING <br /> FIRE ZONF BASEIdENT FIRE SPRINKLERS <br /> REOUIfiEG MECHANICAL <br /> I!YES i]NO <br /> APPpOVALS BY DATE OTHER <br /> t. ENVIRONAIENTAL CHECK LIST PENALTv U B C. <br /> 2. DUILDING PLANS SEC. 303�a) <br /> 3. HPE HYDRANT T�TA� S OO <br /> 4. FIRE PROTEC'ION SYSTEPd PERMIT VALIDATION <br /> NlHEN PROPERLI'VALiDATEP.(M THIS SPACE)THIS IS YOUR PERMIT <br /> 5 GRADING '} <br /> 6. DRAINAGE ' ` �� .g��a�, O� I�.a� ..� i <br /> r . <br /> Z ENVIRONMENiALIMPACT STATEMENT � � <br /> B HEALTH DISTRICT �'� <br /> APPLICATION ACC.E3V PLANS CHECY.EU�Y APPR. FOR ISSUANCE E3Y � �'O U R REC E tAT `' <br /> ' Thi��JK Y��U <br /> i , <br /> �,���,�ss � i�e 7 I aus 79 <br />